Membership Application Form

GFWC Billings Juniors Woman’s Club

$25.00 Yearly dues collected each September

Name__________________________________________________Date_____________

Husband/Partner Name_____________________________________________________

Address________________________________________________________________

City______________________________________State_____________Zip _________

Email _____________________________________Fax__________________________

PhoneNumbers: Home _______________Work ________________Cell _____________

Profession:______________________________________________________________

PersonalInformation: ______________________________________________________

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Hobbies:_________________________________________________________________

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 Reasons for interest in BJWC membership: _____________________________________

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Requested Committee Assignments Please Circle):

Arts                                          Conservation                Education                     Home Life

International Affairs                   Public Affairs                Community Improvement Contest

Fundraising Program                 Advocates for Children                         Leadership Program

Membership Program               Hospitality                    Public Policy and Advocacy Program

Public Relations Program          Exploring our Heritage

The GFWC Billings Junior Woman’s Club of Billings, Montana, strives through the organization and its individual members, to promote an active interest in good government and civic affairs; and to promote, stimulate and support education, philanthropy, public welfare, moral values and cultural development among its members and within the community, to encourage young women to so serve their community while promoting good fellowship within the club.

Invited Guest of: ___________________________________________________________